We should avoid the term “fluid overload” - Critical Care
2018年9月11日 · The causes of hypervolemia can be complex and include renal failure, congestive heart failure, or liver failure, especially when these conditions are associated with overzealous fluid administration. Hypervolemia is also sometimes associated with hyponatremia, especially in patients with cirrhosis, renal failure, or heart failure, reflecting a ...
Pathophysiology of fluid imbalance | Critical Care | Full Text
2000年10月13日 · Fluid imbalance can arise due to hypovolemia, normovolemia with maldistribution of fluid, and hypervolemia. Trauma is among the most frequent causes of hypovolemia, with its often profuse attendant blood loss. Another common cause is dehydration, which primarily entails loss of plasma rather than whole blood. The consequences of …
Effect of different components of triple-H therapy on cerebral ...
2010年2月22日 · Introduction Triple-H therapy and its separate components (hypervolemia, hemodilution, and hypertension) aim to increase cerebral perfusion in subarachnoid haemorrhage (SAH) patients with delayed cerebral ischemia. We systematically reviewed the literature on the effect of triple-H components on cerebral perfusion in SAH patients. Methods We searched …
Hypervolemia increases release of atrial natriuretic peptide and ...
2014年10月13日 · Introduction Acute normovolemic hemodilution (ANH) and volume loading (VL) are standard blood-sparing procedures. However, VL is associated with hypervolemia, which may cause tissue edema, cardiopulmonary complications and a prolonged hospital stay. The body reacts to hypervolemia with release of atrial natriuretic peptide (ANP) from the heart. ANP has …
In the trial on prophylactic hypervolemia after aneurysm clipping after SAH by Lennihan et al. [46] the hyper-volemic group had a mean fluid intake of up to 4.5 L/day versus around 3.7 L/day in the normovolemia group, with similar daily net fluid balances in both groups (between +0.7 and −0.7 L/day). Hypervolemia did not confer any
Fluid management of the neurological patient: a concise review
2016年5月31日 · Hypervolemia did not confer any benefit with regard to CBF or clinical outcomes. The trial by Egge et al. [ 47 ] randomized SAH patients between prophylactic hypertensive hypervolemic haemodilution (triple-H) and normovolemia, and reported fluid intake of approximately 3 L/day in the normovolemic group versus 4–5 L/day in the triple-H group ...
Hypervolemia induces and potentiates lung damage after …
2010年6月14日 · Hypervolemia increased lung W/D ratio and alveolar collapse leading to impairment in oxygenation and Est,L. Furthermore, hypervolemia was associated with alveolar and endothelium damage as well as increased mRNA expression of IL-6, VCAM-1 and ICAM-1 in lung tissue. RMs reduced alveolar collapse regardless of volemic status.
Ultrasound-based clinical profiles for predicting the risk of ...
2019年12月2日 · At the opposite, hypervolemia defined as a VCDi ≥ 11.5 mm m −2 was protective against IDH in the presence or absence of lung congestion. Before starting intermittent hemodialysis, the identification of patients with cardiopulmonary profiles increasing the risk of intradialytic hypotension should incite the clinician to select an alternative ...
Hypotension and hypovolemia during hemodialysis: is the usual …
2016年6月9日 · Hypervolemia and impaired cardiac function were almost certainly highly prevalent [8–10]. Because hemodialysis can severely impair tissue perfusion without overt clinical signs [ 11 ] and fluid dynamics during ultrafiltration might be considerably different between ICU patients and chronic hemodialysis [ 12 , 13 ], individual hemodynamic ...
Dull and Hahn Critical Care Page 2 of 10 Volume kinetic simulation Volume kinetics is a macroscopic method that is useful